Search › Wisconsin › 111N00000X
Jacob Jurgensen
NPI 1821496795 · on the registry since 2014
Practice
- Address
- 129 E Hudson St
Mondovi, WI 54755 - Phone
- (715) 926-3919
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-12-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin